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Value-based Purchasing

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Value-Based Insurance Design

February 1, 2012 | Journal Article

Value-based insurance design (V-BID) acknowledges the importance of cost-sharing, but aligns patient contributions with the interventions potential for clinical benefit, allowing treatment decisions based the value of the service. This article explains what V-BID is and its progression from idea to practice.

Moving Payment from Volume to Value

December 1, 2010 | Report

Policy brief explores differing views on the role of performance measurement in value-based payment.

Low-Value Services in Value-Based Insurance Design

April 7, 2010 | Journal Article

Low-value medical services contribute to sky-rocketing health care costs in the United States. This article examines the benefits and challenges of developing programs that impose disincentives for low-value medical services.

Survey Assesses States' Emphasis on Value-Based Health Care in Medicaid Managed Care Programs

February 2, 2007 | Program Results Report

In 2002, a research team surveyed state Medicaid officials on state efforts to measure and improve the quality of care delivered to beneficiaries in Medicaid managed care programs.

Using Community-Level Quality Measurement to Promote Value in Health Benefit Design

August 1, 2009 | Issue Brief

Employers or health plans may provide financial incentives to consumers in an effort to “steer” them to high quality or low-cost providers, based on these tiers, through reduced deductibles or copayments.

Medicaid Managed Care Program

August 9, 2013 | Program Results Report

The Medicaid Managed Care Program helped states and health plans improve their use of managed care in Medicaid and the State Children's Health Insurance Program between 1995 and 2012.

Improving Quality and Value in Health Care: Ideas from the Field

May 30, 2013 | Program Results Report

The solicitation was a broad call for ideas from the field to rein in spending without jeopardizing patient care. RWJF selected 12 of the most novel ideas and those most likely to engender far-reaching change.

Tactics for Engaging Employers in Community Alliances

May 1, 2013 | Issue Brief

This brief offers promising tactics for community alliances to attract and retain employers as partners, both as purchasers and as channels for communicating with employees and their families.

State Insurance Exchanges Face Challenges In Offering Standardized Choices Alongside Innovative Value-Based Insurance

February 4, 2013 | Journal Article

Transparency about benefits and cost sharing, and uniform definitions and descriptions of design attributes—in plain English—will be necessary to support informed consumer decision-making.

Improving Medical Education to Focus on Delivering Value to Patients

October 8, 2012 | Human Capital Blog Post

Health care professionals looking to become a part of the solution to stemming rising costs while still providing high-quality care.

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